Effect of sodium fluoride and stannous chloride associated with Nd:YAG laser irradiation on the progression of enamel erosion

• Autor(a) principal: Joao-Souza, Samira Helena
• Data de Publicação: 2015
• Outros Autores: Cardoso Bezerra, Savio Jose, Borges, Alessandra Buehler [UNESP], Aranha, Ana Cecilia, Scaramucci, Tais
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://dx.doi.org/10.1007/s10103-015-1791-9; http://hdl.handle.net/11449/161015
• topic: Tooth erosion; Sodium fluoride; Stannous chloride; Nd:YAG laser; Optical profilometry

This study evaluated the progression of enamel erosion after treatment with gels containing sodium fluoride (NaF; 9047 ppm F) and stannous chloride (SnCl2; 3000 ppm Sn), associated or not with Nd:YAG laser irradiation. Sixty enamel specimens were prepared from bovine incisors and protected by a tape, leaving an exposed surface area of 4 x 1 mm. The specimens were immersed in 1 % citric acid (pH = 2.3) for 10 min to create an initial erosion lesion. After, they were randomly divided into six groups: (C) control: gel without active ingredient; (F): NaF gel; (F + Sn): NaF + SnCl2 gel; (laser): Nd:YAG laser irradiation (0.5 W; 50 mJ; similar to 41.66 J/cm(2); 10 Hz; 40 s); (F + laser): NaF gel + Nd:YAG; (F + Sn + laser): NaF + SnCl2 gel + Nd:YAG. All gels had pH = 4.5 and were applied for 1 min. Laser irradiation was performed after gel application. The specimens were then submitted to a 5-day erosion-remineralization cycling model using 1 % citric acid (pH = 2.3), six times per day. Enamel surface loss (SL) was analyzed by optical profilometry in the end of the cycling (in mu m). Data were analyzed by one-way ANOVA and Holm-Sidak tests (alpha = 0.05). The control and the laser groups presented the highest enamel loss (means +/- SD = 53.52 +/- 3.65 and 53.30 +/- 2.73, respectively), followed by F + Sn (44.76 +/- 2.83). The groups F (36.76 +/- 2.28), F + laser (36.25 +/- 3.59), and F + Sn + laser (39.83 +/- 4.62) showed the lowest enamel loss, with no significant difference among them (p > 0.05). In conclusion, NaF by itself or associated with SnCl2 and Nd:YAG laser was able to reduce enamel erosion progression. Nd:YAG laser alone did not show a protective effect.